Want to remove stitch mark from my face. Can you tell me what treatment is best? (Photo)

Thank you for your inquiry.  Based on the photographs you provided the scars appear to be relatively deep.They will likely require surgical revision and possibly subsequent laser skin resurfacing.  You might also consider undergoing Botox injections in that area prior to surgery so as to minimize movement of the skin as the surgical wounds heal.

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question.Yes, scar revision by direct excision and closure is likely your best option. You will trade the scar you have for a new scar and hopefully, it is a better scar because it is controlled and not from an accident.



To be sure, see two or more experienced,
board-certified Plastic Surgeons for a complete evaluation to make sure you are
a good candidate and that it is safe for you to have surgery.



I hope this helps.

First, let me say how sorry I am that you are suffering with this. While all scars are permanent, we fortunately have a number of tried and true techniques for improving and camouflaging their appearance. Subcision is one method for breaking up the abnormal band of scar collagen under scars that tethers them downward and causes the unsightly depressions. Fractional microneedle resurfacing (aka skin needling, needle dermabrasion and medical microneedle therapy and dermal rolling) is another technique for helping to blend the tone and texture of the base of the scar with the surrounding normal skin. Both techniques, which are often combined, can result in permanent improvement in appearance, and both typically require a series of two to four treatments spaced at four to six week intervals to achieve maximal aesthetic improvement. Be sure to seek consultation and treatment by a board certified aesthetic core physician with experience and expertise in all forms of scar treatments. For more detail on any of the above mentioned techniques, check out the archives of Realself.com

Whenever we're deciding on how to best manage a scar, we try to determine what is objectionable about it. In your case, I think the biggest problem is the color difference between the scar and your surrounding skin. Laser treatments can be helpful for this in a couple of ways. First, they can lighten the color contrast. Secondly, they can help promote collagen rearrangement beneath the surface, resulting in a smoother contour to the area. A word of caution though: Lasers that are meant to lighten the color can also affect your normal skin pigment. Modern technology has gotten so good that this is less likely to happen than in the past, but it's definitely something to discuss with your doctor BEFORE you get started.Sorry about your accident. I hope this helps.

Unfortunately, humans heal with scar formation and some scarring will always be present. Nevertheless, the area could be revised, with incorporation of a w or z plasty, which would break up the length of the scar and make it less noticeable. Also, the revision is planned and any adhesions that exist between the skin and underlying muscles could be released, which will also make the scar lie flatter and more in the plane of the skin of the area.